# GREGORY W BERNARD DC PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245617687
- **Authorized official:** GREGORY BERNARD (OWNER)
- **Authorized official phone:** (715) 410-0706

## Contact information

- **Practice address:** 330 WEST MAIN STREET, ELLSWORTH, WI 54011-5087
- **Practice address phone:** (715) 410-0706
- **Mailing address:** 511 PRAIRIE LN, HUDSON, WI 54016-7037
- **Mailing address phone:** (715) 410-0706

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | Yes |
| 111N00000X | Chiropractor | — | — | Yes |

## Other

- **Enumeration date:** 05/06/2015
- **Last updated:** 05/06/2015